04-100542City of Federal Way
orimtunity Development Services
33530 1st Way S
Fede al.Way, WA 98003-6210
Ph: 253.6611'4000 Fax: 253.661.4129
Mechanical Permit #:04 - 100542 - 00 - ME
Inspection request line: 253.835.3050
Project Name: HALL
Project Address: 32312 10TH f AVC s Parcel Number: 150240 0260
Project Description: Gas to gas furnace installation
Owner
Applicant
Contractor
Melvin C Hall
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
32312 10TH AVE S
2800 THORNDYKE AVE W
2800 THORNDYKE AVE W
FEDERAL WAY WA
SEATTLE WA 98199
SEATTLE WA 98199
98003-5925
(206)282-4700
Mechanical Valuation..........................................1835 Over the Counter Permit...................................... Yes
Mechanical Fixtures
Description Quanti 1 Description Quanti Description lQuantityl
Furnaces
PERMIT EXPIRES August 18, 2004.
Permit issued on February 20, 2004
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington and
the City of Federal
Owner or agen .L- Date:
Mechanical rough -in:
Date
Gas pipe:
Date
FINAL MECHANICAL: L 0z
Date
FEB -18-2004 08:40 yFROM:
q��)
FEB 1 8 2004
ON.
Way PEOERA�-WAY PERMIT APPLICATION
iiSYv„niNG DEPS
TO:12536614129 P.3
LUUMMIY DEVMFUEAT SERVICES
.15370 %LEST WAY souru • PO L'JX •71;
FBCSRALWAY, WA I&M-9718
453661.9115-PAK 957-661-41"
Iulmatilun/l__ - _ pl /nm
:..ac ""' I FW File Number: i J 77 - t ( t / t.'7 1-f -\: . . V I I I
The followinq is
-an
SITE ADDRESS: _ 7 (// S I Z.- LU 1
ASSESSOR'S TAX/PARCEL 4:
will not be accepted. Pleats
-J SQUARE FOOTAGE OF LOT:
SUITE/APT tt
LEGAL DESCRIPTION (e g.: Aare Estates, Lot 1)
(Attach sopnrole page for lengthy legal description)
TYPE OF PERMIT (This application(: O BUILDING a PLUMBING YMECHANICAL D DEMOLITION
O ELECTRICAL O ENOINEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed desolp6D of work included an
/]jo _ S 4D oa S mi m4Ce_
PROJECT NAME (Name gjBusinesslOwnerLast Xam4:
PROPERTY
OWNER
CONTRACTOR
LENDIM.
of? I V k*. 83"M
APPLICANT:
or
NAVE:PRIMARY PHONE:MAR
Ev
5 G'3DDRE93(STR tz Q DRESS;I; _�SfAr-k� W �� tz:)03
N
jC1, f '
COMPANY
OPPIC2 PHONE:
c Z� CC3
MAIUNOADRR 3' P.l?T O
Lf
`4?CITY
CPl].PN �NE:
` r = OF p '� � w161AY (f Z f _ i .DOO� / DATE:
3TION
FAX NUMBER;-_'
CONTRACTORS RUCISTRA NUMIJ=7 EX17RA710N MTS'
WASH 1=S57 Low CZ / Z / a
S«rr +�a�..+ �••rP�•�►
NAME; DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS j: CRY. STATE. ZIP _
NAME: a /
CbMrnNY
OFFICE PHONE:
-
MAIIJNG ADDRESS (STREET ADDRESM-,
CITY, STATE. IJP
EVENING PHONE:
RELATIONSHIP TO PROJECT:
D Architect O Tenant O Other (Desc ibc�
FAX NUMBER.:
CONTACT PERSON FOR THIS PROJECT: O Property Owner Contractor ❑ ApplIeant E MAi1 AI)DR65S:
DETArLEDBUTLI)INGINFOM1ATION
F-KISTU90 USE: PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $
SPRINKLERED BU LDiNG? 0 YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED?: O YES 0 NO
WATER SERVICE PROVIDER-- O LAW HAVEN O HIGHLINE O TACOMA 0 PRIVATE (WELL(
SEWER SERVICE PROVIDER 0 LAKEHAVER a HIGHLINE n PRIVATE (SEPTIC)
FEB -18-2004 08:40 FROM:
TO:12536614129 P.4
ARRA DESCRIPTION
RXISTING Sq. FT.
PROPOSED S _ Fr.
TOTAL.
BASEMENT
a NEW D ADDITION
a ALTERATION
a REPAIR a TENANT IMPROVEMENT
FIRST
SiiI1:DING. SEI�EI.L ONLY?
U YES ONO
BASIC PLAN?
SECOND
o NO
ZQ1QIifQ�D1'. 10*A:TION:
THIRD
o YES
o NO
NEW ADDRESS RDQtIIRED?
FOURTH
UP/SEPA/SD?
o YES
a NO
ADDITIONAL FLOORS (DESCRIBE)
o TBS ONO
Dmo PERMIT REQUIRED?
a YES
DECK (COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS?
a,,,W* asm
2nvutoamoauoRoom"
••NEWHOMF.SONLY"• NUMBER OF BEDROOMS: F-13TI IATED SELLING PRICE: S
adicate number of each type of Cb tate that is to be Installed or relocated as part of this project. Do not
MECSAIiRCAL l
Vatue of Merhanicul Work $
-AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOOS
BBQS PAN$ FOODS 0-- 14
BOILERS FIREPLACE INSERTS RANGES
..-COMPRESSORS FURNACES 4240 WATER HEATERS
DUCTS OAS PIPE OUTLETS
PLLJ MDIG
BATHTUBS t-ru jsb—c.. " SHOWERS WATER CLOSETS Ir-ko
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS "NWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
IAVS pwah.... sto! VACUUM BREAKERS LLr=RIC WATER HEATERS
1111
to remain.
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC )Describe)
I certify underpenafty of perfury that the lnformc1ttorc furnished b'J me is tsva and correct to the Best of m
knowledge. and further, that I am autAi rized by the oumer of the above premises to perform the work for which the permit
W11cation is made. I further agree to hold harmless the City of Federal Way as to any claim (including costo, expenses, and
attorney*' fees incurred in the inoesblyation and defense of such *Udvm , which may be -aAc by any person. Including the
undersigned, and jiicd against the of dederal Way, but only where such claim arises aut of the reliance of the city,
Including Its officers employee , a the acerera o she information supplied to the city as n part of this application.
NADdE/TITLE:4g44 a&q,�,)ATE: _
isianaiurqfrith)
RELATIONSHIP PROJECI: O Property O D Applicant O Contractor ' IJ Architecb O
��`OR l)F�ICE,i7�E.ONLY. =.
a NEW D ADDITION
a ALTERATION
a REPAIR a TENANT IMPROVEMENT
SiiI1:DING. SEI�EI.L ONLY?
U YES ONO
BASIC PLAN?
a YES
o NO
ZQ1QIifQ�D1'. 10*A:TION:
CSA[fQ]& OF USE?
o YES
o NO
NEW ADDRESS RDQtIIRED?
a YES ONO
UP/SEPA/SD?
o YES
a NO
P TATTED LOT?
o TBS ONO
Dmo PERMIT REQUIRED?
a YES
o NO
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